My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
BILLING
EnvironmentalHealth
>
EHD Program Facility Records by Street Name
>
R
>
ROTH
>
485
>
2900 - Site Mitigation Program
>
PR0507973
>
BILLING
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
5/18/2020 3:22:37 PM
Creation date
5/18/2020 3:09:25 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
BILLING
RECORD_ID
PR0507973
PE
2950
FACILITY_ID
FA0007858
FACILITY_NAME
SPAULDING
STREET_NUMBER
485
Direction
E
STREET_NAME
ROTH
STREET_TYPE
RD
City
FRENCH CAMP
Zip
95231
CURRENT_STATUS
01
SITE_LOCATION
485 E ROTH RD
P_LOCATION
99
P_DISTRICT
003
QC Status
Approved
Scanner
TSok
Tags
EHD - Public
There are no annotations on this page.
Document management portal powered by Laserfiche WebLink 9 © 1998-2015
Laserfiche.
All rights reserved.
/
3
PDF
Print
Pages to print
Enter page numbers and/or page ranges separated by commas. For example, 1,3,5-12.
After downloading, print the document using a PDF reader (e.g. Adobe Reader).
View images
View plain text
F AN JOAQUIN COUNTY - ENVIRONMENTAL HEALTH DI JN <br /> CONTAMINATED SITE D-Base MFR INPUT FORM <br /> UPDATE: / /� BY: Klll REVIEWED BY: DATE ENTERED: / / BY: <br /> SWEEPS/SITE CODE S b�CI �� PROGRAM/ELEMENT X9,50 COMP # LOC CODE DIST # 0 <br /> UGT FILE PILOT FILE H W FILE SITE MITIGATION PWS FILE PRIV WELL FILE ENV ASSESS <br /> SOLID WASTE H2O 0 FILE EPI FILELAND USE FILE OTHER AGENCY REPORT EMERGENCY RESPONSE <br /> LEAD AGNCY/UNIT T SJ/EH CONTACT �/V�V�� DHS CONTACT <br /> (OTHER CONTACT RWOCB CONTACT WDR issuedY / N NPDES issuedY / N <br /> ( FAILED PT SOIL CONT GW CONT IOL.' CONT ETROLEUM Y / N <br /> SUBSTANCE #1e f,� #2 #3 K4 K5 <br /> PRIOR FAILED PT NO ACTION CLEAN UP COMPLETE DATE ENFORCEMENT ACTIONTY <br /> / N <br /> ENFORCEMENT TYPE: 1 2 3 4 5 6 DATE ACTION TAKEN: <br /> SITE NAME <br /> ADDRESS <br /> CITY `/tJI �M C STATE CN ZIP <br /> CONTACT NAME PHONE <br /> ROPERTY OWNER <br /> COMPANY NAME J _ Si PHONE <br /> CONTACT NAME PHONE <br /> ADDRESS <br /> CITY &'— <br /> p STATE ZIP <br /> SPONSIBLE PARTY (If different from Property Owner) <br /> :OMPANY NAME PHONE <br /> :ONTACT NAME PHONE <br /> ADDRESS <br /> CITY STATE ZIP <br /> -OHSULTANT PHONE <br /> JAR # DATE PROP 65 # F DATE I PRIORITY <br /> STREET # (/� SITE STREET ,H— APN # q <br /> 23 070 (7/89)'/ 89-19(IV) CNTMFR2 t REVISED 12/94 <br />
The URL can be used to link to this page
Your browser does not support the video tag.